| NPI | 1114395316 |
|---|---|
| Doing Business As | FOX VALLEY DENTAL CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | THOMAS R POINTNER Owner 847-695-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019022965) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019029509) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |